Page 14 - 2022 Chartwell Hospitality - Non-Managers
P. 14

Your Critical Illness Plan





                        Benefit Options                   Amounts

            Employee
            Spouse                                   $10,000/$15,000/$20,000
            Child                                     $5000/$7,500/$10,000*
            *Coverage cannot exceed                   $2,500/$5,000/$10,000*
            50% of Employee election

                                                     % of Benefit Amount
                       Core Plan Benefits
                                                          Covered

            Heart Attack, Stroke, Major organ
            failure, Renal (kidney failure), Invasive       100%
            cancer

            Arterial/vascular disease and Non-invasive
            cancer                                           25%
            Skin cancer (once per lifetime)                 $250

                                                     % of Benefit Amount
                Additional Childhood Conditions
                                                          Covered
                                                                               Critical Illness insurance pays a fixed
                                                                               benefit if you are diagnosed with a
            Cerebral palsy, Cleft Lip, Cleft palate, Cystic                    covered critical illness after your
            fibrosis, Down syndrome, Muscular               100%               coverage effective date. This coverage
            dystrophy, Spina bifida and Type 1 diabetes                        helps with the cost associated with a
                                                                               critical illness, such as lost income, child
                                                                               care, travel to and from treatment,
                                                     % of Benefit Amount
               Supplemental Condition Benefits                                 high deductibles, and copays.
                                                          Covered              www.lfg.com

            Advanced Alzheimer’s, Advanced
            Parkinson’s, and Advanced Lou Gehrig’s (ALS)    100%
            diseases

            Advanced Multiple Sclerosis (MS) and
            Advanced chronic obstructive pulmonary           50%
            disease (COPD)


                                                      Reimbursement $
                  Health Assessment Benefits           % of Benefit
                                                     Amount Covered
              Health screening tests (i.e. mammogram,
                colonoscopy, pap smear, blood
                    chemistry profile, etc.)                 $50
             1 test per 12 month assessment period
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